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What are some cues that the nurse may notice when assessing a patients urinary pattern
(the patient is suffering elimination issues, what could the nurse assess visually) - (CORRECT
ANSWER)Urine COPA Is abnormal
The meatus is not slit like or free of drainage
The female perineum is not free of drainage or inflammation
Erythema, edema, and signs of scratching, or drainage are present
What are potential cues that help The nurse assess a patient's elimination patterns as it relates to
skin integrity - (CORRECT ANSWER)Skin maceration is common in incontinent patients
The skin erodes, i.e. erythemic, burning, swollen, painful, itchy
Urine is created by _______ - (CORRECT ANSWER)The kidneys
What are the three urinary alterations We focus on at CSCC? - (CORRECT ANSWER)Urinary
incontinence (stress vs urgent)
Urinary tract infection (lower vs upper)
,Urinary retention (acute vs chronic)
What are the signs and symptoms an individual is suffering with stress related urinary
incontinence - (CORRECT ANSWER)(Women) common after childbirth
Leaking when coughing, sneezing or laughing
(Women) Weekend pelvic floor
Nocturia is NOT present
What are signs and symptoms of a lower UTI - (CORRECT ANSWER)Located in
bladder/urethra
Dysuria
Cloudy or foul smelling urine
Increased urgency, frequency, and accidents
Suprapubic tenderness
What are the signs and symptoms of an upper UTI? - (CORRECT ANSWER)Stems from the
kidneys
Flank pain
Fever and chills
,Flu like symptoms
Hematuria
Pyuria
Dysuria
Increased urgency, frequency in accidents
Suprapubic tenderness
What are the causes for UTIs? - (CORRECT ANSWER)Poor hygiene
Indwelling catheter
Sexually active
Incontinent
Bacteria build up (E. coli)
What are the signs and symptoms of an older adult that has a UTI - (CORRECT ANSWER)In
addition to general symptoms, older adults may have:
Altered mental status
, Increased frequency of falls
Sub normal temperature
loss of appetite
How are UTIs generally treated - (CORRECT ANSWER)Lower UTIs: topical medication
PO antibiotics
Upper UTIs : PO antibiotics
IV Medication/antibiotics
Hospitalization required
What is urinary retention? - (CORRECT ANSWER)An accumulation of urine due to the
inability of the bladder to empty
Urinary retention _______ the risk for UTI - (CORRECT ANSWER)Increases
What is acute onset urinary retention? - (CORRECT ANSWER)The bladder stretches due to
overinflation
Restlessness and diaphoresis common
Typically occurs after surgery, spinal cord, injury, or removal of a Foley catheter
What is chronic onset urinary retention? - (CORRECT ANSWER)Slow/gradual onset